|
Fetal non stress test
|
$349.00 |
$349.00 |
$349.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$85.00 |
$85.00 |
$85.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$101.00 |
$101.00 |
$101.00 |
$120.05
|
|
Fibrin degradj d-dimer
|
$111.50 |
$111.50 |
$111.50 |
$111.50
|
|
Fibrinogen activity
|
$97.50 |
$97.50 |
$97.50 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$261.00 |
$261.00 |
$261.00 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$296.70 |
$296.70 |
$296.70 |
$72.80
|
|
Fibrinolytic plasminogen
|
$58.50 |
$58.50 |
$58.50 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$41.00 |
$41.00 |
$41.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$303.34 |
$303.34 |
$303.34 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$461.53 |
$461.53 |
$461.53 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,219.86 |
$1,219.86 |
$1,219.86 |
$891.02
|
|
Filtered speech hearing test
|
$135.00 |
$135.00 |
$135.00 |
$99.32
|
|
Filter spider fx 3mmx320cm
|
$4,342.04 |
$4,342.04 |
$4,342.04 |
$7,188.75
|
|
Filter vena cava fem denali
|
$3,359.38 |
$3,359.38 |
$3,359.38 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,655.50 |
$1,655.50 |
$1,655.50 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$196.50 |
$196.50 |
$196.50 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$280.50 |
$280.50 |
$280.50 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,667.00 |
$1,667.00 |
$1,667.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$4,107.50 |
$4,107.50 |
$4,107.50 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$2,688.89 |
$2,688.89 |
$2,688.89 |
$4,584.72
|
|
Finger tendon transfer
|
$6,874.50 |
$6,874.50 |
$6,874.50 |
$3,839.54
|
|
Fitg c-lens keratoconus 1st
|
$45.00 |
$45.00 |
$45.00 |
$127.00
|
|
Fixation of knee joint
|
$2,548.50 |
$2,548.50 |
$2,548.50 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,144.50 |
$1,144.50 |
$1,144.50 |
$1,165.45
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$7,096.00 |
$7,096.00 |
$7,096.00 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$14.00 |
$14.00 |
$14.00 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$3,582.00 |
$3,582.00 |
$3,582.00 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$2,160.48
|
|
Florbetaben f18 diagnostic
|
$4,488.00 |
$4,488.00 |
$4,488.00 |
$5,705.04
|
|
Flortaucipir inj 1 millicuri
|
$464.00 |
$464.00 |
$464.00 |
$3,710.00
|
|
Flotufolastat f18 diag 1 mci
|
$927.00 |
$927.00 |
$927.00 |
$2,215.03
|
|
Flow cytometry interp 16 or more
|
$200.00 |
$200.00 |
$200.00 |
$194.00
|
|
Flow cytometry marker each additional
|
$3,850.00 |
$3,850.00 |
$3,850.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$950.00 |
$950.00 |
$950.00 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$22.50 |
$22.50 |
$22.50 |
$172.50
|
|
Floxuridine injection
|
$3,814.02 |
$3,814.02 |
$3,814.02 |
$5,929.92
|
|
Flt3 gene
|
$470.00 |
$470.00 |
$470.00 |
$355.00
|
|
Flt3 gene analysis
|
$219.50 |
$219.50 |
$219.50 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$23.40 |
$23.40 |
$23.40 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$332.63 |
$332.63 |
$332.63 |
$493.35
|
|
Fluidotherapy charges pt
|
$87.50 |
$87.50 |
$87.50 |
$98.40
|
|
Fluid pressure muscle 20950
|
$1,027.50 |
$1,027.50 |
$1,027.50 |
$779.45
|
|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$14,359.80
|
|
Fluorescein angrph mltiframe
|
$383.00 |
$383.00 |
$383.00 |
$336.50
|
|
Fluorescent antibody titer dna
|
$786.00 |
$786.00 |
$786.00 |
$123.65
|
|
Fluoroestradiol f 18
|
$4,259.50 |
$4,259.50 |
$4,259.50 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$749.50 |
$749.50 |
$749.50 |
$495.95
|
|
Fluoroguide needle placement
|
$2,211.00 |
$2,211.00 |
$2,211.00 |
$497.20
|
|
Fluoro polarize fetal lung
|
$176.00 |
$176.00 |
$176.00 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$805.00 |
$805.00 |
$805.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$122.96 |
$122.96 |
$122.96 |
$107.00
|
|
Flurpiridaz f18, diag, 1 mci
|
$662.50 |
$662.50 |
$662.50 |
$1,033.50
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$18.00 |
$60.00
|
|
Fmri brain by phys/psych
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$1,560.51
|
|
Fmri brain by tech
|
$809.50 |
$809.50 |
$809.50 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,655.50 |
$1,655.50 |
$1,655.50 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$196.50 |
$196.50 |
$196.50 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$1,655.50 |
$1,655.50 |
$1,655.50 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$196.50 |
$196.50 |
$196.50 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$134.38 |
$134.38 |
$134.38 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$60.09 |
$60.09 |
$60.09 |
$16.25
|
|
Folic acid
|
$119.00 |
$119.00 |
$119.00 |
$99.96
|
|
Follow-up angiography
|
$2,483.50 |
$2,483.50 |
$2,483.50 |
$1,939.14
|
|
Follow-up surgery of eye
|
$6,307.50 |
$6,307.50 |
$6,307.50 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$857.56 |
$857.56 |
$857.56 |
$2,481.61
|
|
Fondaparinux sodium
|
$10.43 |
$10.43 |
$10.43 |
$186.87
|
|
Fo nontorsion joint cf
|
$63.00 |
$63.00 |
$63.00 |
$217.50
|
|
Foot arch support remov prem
|
$198.00 |
$198.00 |
$198.00 |
$141.41
|
|
Foot drp splt w/exp heel lg
|
$181.00 |
$181.00 |
$181.00 |
$143.87
|
|
Foot longitud/metatarsal sup
|
$326.50 |
$326.50 |
$326.50 |
$221.20
|
|
Foot X-ray
|
$382.00 |
$382.00 |
$382.00 |
$352.08
|
|
Forehead flap w/vasc pedicle 15731
|
$12,899.51 |
$12,899.51 |
$12,899.51 |
$4,757.50
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$3,843.50 |
$3,843.50 |
$3,843.50 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$289.38 |
$289.38 |
$289.38 |
$490.67
|
|
Foscarnet sodium injection
|
$555.84 |
$555.84 |
$555.84 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$78.35 |
$78.35 |
$78.35 |
$106.25
|
|
Fracture assessment via dxa
|
$364.50 |
$364.50 |
$364.50 |
$175.50
|
|
_fragile x methylation-sendout
|
$363.50 |
$363.50 |
$363.50 |
$183.74
|
|
Fragmenting of kidney stone
|
$10,525.00 |
$10,525.00 |
$10,525.00 |
$10,312.25
|
|
Free myo/skin flap microvasc
|
$10,134.26 |
$10,134.26 |
$10,134.26 |
$9,604.40
|
|
Free skin flap microvasc
|
$15,239.50 |
$15,239.50 |
$15,239.50 |
$10,624.90
|
|
Frenectomy 41115
|
$2,255.00 |
$2,255.00 |
$2,255.00 |
$1,939.47
|
|
Frenotomy 40806
|
$3,537.50 |
$3,537.50 |
$3,537.50 |
$679.80
|
|
Frenulotomy of penis
|
$3,843.50 |
$3,843.50 |
$3,843.50 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$183.00 |
$183.00 |
$183.00 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$204.50 |
$204.50 |
$204.50 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$80.50 |
$80.50 |
$80.50 |
$130.98
|
|
Frozen cell preparation
|
$33.00 |
$33.00 |
$33.00 |
$31.81
|
|
Frozen plasma, pooled, sd
|
$527.00 |
$527.00 |
$527.00 |
$170.00
|
|
Fructosamine glycated protein
|
$4.50 |
$4.50 |
$4.50 |
$61.75
|
|
Fth/gft fr n/e/e/l each addl
|
$1,635.50 |
$1,635.50 |
$1,635.50 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$1,331.00
|
|
Ftl cgen abnor five anal
|
$319.00 |
$319.00 |
$319.00 |
$155.10
|
|
Ftl cgen abnor four anal
|
$172.00 |
$172.00 |
$172.00 |
$205.80
|
|
Ftl cgen abnor two proteins
|
$149.00 |
$149.00 |
$149.00 |
$109.00
|
|
Full field erg w/i&r
|
$662.50 |
$662.50 |
$662.50 |
$393.12
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$6,333.67 |
$6,333.67 |
$6,333.67 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$3,595.31 |
$3,595.31 |
$3,595.31 |
$2,469.00
|
